Affiliation:
1. Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynecologic Diseases Department of Obstetrics and Gynecology, , Beijing 100730 , China
Abstract
Abstract
Background
No conclusions have been reached on whether female stress urinary incontinence (SUI) and related treatments affect male partners’ sexual function.
Aim
To assess the effects of female SUI and related treatments on male partners’ sexual function.
Methods
A comprehensive search of the PubMed, Embase, Web of Science, Cochrane, and Scopus databases was performed up to September 6, 2022. Studies were included that investigated the effect of female SUI and related treatments on male partners’ sexual function.
Outcome
Male partners’ sexual function.
Results
Of the 2294 citations identified, 18 studies with 1350 participants were included. Two studies assessed the effect of female SUI without treatment on male partners’ sexual function, finding that partners had more erectile dysfunction, more sexual dissatisfaction, and less sexual frequency than partners of women without urinary incontinence. Seven studies directly assessed the effect of female SUI treatments on male partners’ sexual function by surveying the male partners. Among these, 4 assessed transobturator suburethral tape (TOT) surgery; 1 assessed TOT and tension-free vaginal tape obturator surgery; and the remaining 2 assessed pulsed magnetic stimulation and laser treatment. Among the 4 TOT studies, 3 used the International Index of Erectile Function (IIEF). TOT surgery significantly improved the total IIEF score (mean difference [MD] = 9.74, P < .00001), along with erectile function (MD = 1.49, P < .00001), orgasmic function (MD = 0.35, P = .001), sexual desire (MD = 2.08, P < .00001), intercourse satisfaction (MD = 2.36, P < .00001), and overall satisfaction (MD = 3.46, P < .00001). However, the improvements in IIEF items may be of unclear clinical significance, as 4 points in the erectile function domain of the IIEF are typically defined as the minimal clinically important difference. In addition, 9 studies indirectly assessed the effect of female SUI surgery on male partners’ sexual function by surveying patients with the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire. The results demonstrated no significant differences in erectile function (MD = 0.08, P = .40) or premature ejaculation (MD = 0.07, P = .54).
Clinical Implications
The effects of female SUI and related treatments on male partners’ sexual function were summarized for the first time, providing a reference for future clinical practice and scientific research.
Strengths and Limitations
A limited number of studies that used various scales met the standardized eligibility criteria.
Conclusion
Female SUI may affect male partners’ sexual function, and female patients’ anti-incontinence surgery does not appear to have a clinically significant improvement on the sexual function of their partners.
Funder
Beijing Natural Science Foundation
National Natural Science Foundation of China
CAMS
Special Fund for Prevention and Treatment of Pelvic Floor Dysfunction in Chinese Women
National High Level Hospital Clinical Research Funding
Publisher
Oxford University Press (OUP)
Subject
Urology,Reproductive Medicine,Endocrinology,Endocrinology, Diabetes and Metabolism,Psychiatry and Mental health
Reference41 articles.
1. Urinary incontinence among Saudi women: prevalence, risk factors, and impact on quality of life;Almutairi;Eur Rev Med Pharmacol Sci,2021
2. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study;Irwin;Eur Urol,2006
3. A population-based survey of the prevalence, potential risk factors, and symptom-specific bother of lower urinary tract symptoms in adult Chinese women;Zhang;Eur Urol,2015
4. Urinary incontinence and associated female sexual dysfunction;Duralde;Sex Med Rev,2017
5. Sexual activity and function in women with and without pelvic floor disorders;Fashokun;Int Urogynecol J,2013
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献